Today was good generally.  Some minor side effects cropping up, mainly fatigue (my voice gives out about half way through the day if I am hosting meetings and doing much talking) and another bought of the dreaded Montezuma’s revenge over night.  The main issue with that of course is lost sleep as I wake up several times in the night to empty the pouch, and the liquid content had bad effects on the barrier, so I was sure going into today that I would be changing out the appliance at some point.  I managed to make it until lunch at which point I could feel the  slight burn as the skin was being contacted.  I headed home (thankfully I live 2 miles from work) rather than conduct a field change at the office, and managed to get there before the outer adhesive had started to fail.  That kind of barrier failure is normal and to be expected, so I am not sweating it for now.  Hopefully the Imodium and bananas (the B in the BRAT diet of Bananas, Rice (white), Apple sauce and Toast suggested for dealing with the trots) will make tonight less of an issue.

The work day went well, but so many meetings and such an early start left me pretty tired around 3:30PM (which considering my 7:30 start was almost a full day) so I headed home and took a much needed nap.  The nap did wonders and after about 90 minutes of that I was feeling much more like myself.

I finally heard from the dietician and have an appointment on Friday.  I am really hopeful that she can help me come up with a diet plan that will accomplish all of my current goals.